Provider Demographics
NPI:1326859562
Name:SOCAL NP MEDICAL SERVICES, INC
Entity type:Organization
Organization Name:SOCAL NP MEDICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:MESHYLLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN-FERIDO
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, FNP, PMHNP
Authorized Official - Phone:818-325-7147
Mailing Address - Street 1:9420 NOBLE AVE UNIT 112
Mailing Address - Street 2:
Mailing Address - City:NORTH HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91343-7824
Mailing Address - Country:US
Mailing Address - Phone:818-325-7147
Mailing Address - Fax:
Practice Address - Street 1:9420 NOBLE AVE UNIT 112
Practice Address - Street 2:
Practice Address - City:NORTH HILLS
Practice Address - State:CA
Practice Address - Zip Code:91343-7824
Practice Address - Country:US
Practice Address - Phone:818-325-7147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-16
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty